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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Practice patterns of screening for sleep apnea in physicians treating PCOS patients
Shyam Subramanian1, Ashesh Desai, Mohit Joshipura
1Division of Pulmonary and Critical Care Medicine, Baylor College of Medicine, 1709 Dryden Street, Houston, TX 77030, USA. ssubrama@bcm.edu
Sleep & Breathing = Schlaf & Atmung
|June 2, 2007
Summary
Physicians managing polycystic ovarian syndrome (PCOS) rarely screen for obstructive sleep apnea (OSA), despite its high prevalence in PCOS patients. Improved education and screening tools are needed to increase OSA detection in this population.
Area of Science:
- Endocrinology
- Sleep Medicine
- Women's Health
Background:
- Polycystic ovarian syndrome (PCOS) is frequently associated with a high prevalence of obstructive sleep apnea (OSA).
- Current guidelines recommend screening for OSA in women with PCOS.
- The actual clinical practice patterns regarding OSA screening in PCOS patients are not well-documented.
Purpose of the Study:
- To investigate the current practice patterns of OSA screening among physicians managing PCOS patients.
- To identify any differences in screening practices between obstetrician/gynecologists (ObGyn) and endocrinologists.
- To assess physician perceptions of OSA symptoms in PCOS patients.
Main Methods:
- A closed-ended questionnaire was mailed to 200 ObGyn and 140 endocrine academic institutions.
- Physicians reported on their practices regarding OSA screening and their perceptions of OSA symptoms in PCOS patients.
- Response rates were 29.4% for ObGyn and 26.4% for endocrine physicians.
Main Results:
- A high prevalence of morbid obesity was reported (75-100% of patients by 36.7% of physicians).
- Physicians reported low prevalence of snoring (86.1% <25% of time) and excess daytime sleepiness (EDS) (74.7% infrequently).
- Sleep studies were ordered infrequently (<25% of the time) by 92.4% of physicians, with no significant difference between specialties.
Conclusions:
- Physicians managing PCOS patients appear to underestimate OSA symptoms and do not frequently order OSA testing.
- This practice pattern may stem from a lack of awareness regarding the PCOS-OSA link or a perception of asymptomatic patients.
- Enhanced physician education on OSA in PCOS and improved screening tools are crucial for better detection rates.
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